Nursing Informatics
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Evolve from the French word ―informatics Referred to the field of applied computer science Concerned with the processing of information such as nursing information | Nursing informatics |
Computers were used or introduced intro healthcare facilities for? | The processing of basic administrative task |
Is an all-encompassing term Refers to technology that – Captures health information – Processes health information – Generates health information | Health Information Technology (HIT) |
Health Information Technology (HIT) refers to technology that: | Captures health information Processes health information Generates health information |
Computerization affects all aspects of healthcare delivery including: | Provision and documentation of patient care Education of healthcare providers Scientific research for advancing healthcare delivery Administration of healthcare delivery services Reimbursement for patient care Legal and ethical implications Safety and quality issues |
HIT or computerization is a shift toward: | Integrating multiple technologies and telecommunication devices Invisible devices such as cloud storage user-friendly, menu-driven, touchscreen manipulation methods |
Computers in nursing are used for: | Managing patient care information Monitoring quality evaluating outcomes Communicating data and messaged via the Internet Accessing resources Interacting with patients on the web |
Seven Time Periods: | Prior to the 1960s 1960 1970 1980 1990 2000 2010 |
Computers in nursing informatics are used for: | Documenting and processing real-time plans of care Supporting nursing research Testing new systems Designing new knowledge databases |
Seven Time Periods: Prior to the 1960s: Historic Perspective of Nursing & Computers: Developed in the late ??? and early ??? | Developed in the late 1930s and early 1940s |
Seven Time Periods: Prior to the 1960s: A few experts formed a ??? to adapt computers to healthcare and nursing | Cadre a small group of people specially trained for a particular purpose or profession |
Seven Time Periods: Prior to the 1960s: Computers in healthcare were used for? | Administrative and accounting functions |
Seven time periods: 1960s: Studies were conducted to? | Determine how computer technology could be utilized |
Seven time periods: 1960s: The nurses' station was viewed as? | The most appropriate center for development of computer applications |
Seven time periods: 1960s: The mid-1960s presented nurses with? | New opportunities for computer use |
Seven time periods: 1960s: Increased time devoted to documentation and a rise in medication errors prompted? | The investigation of emerging computer-based information system |
Seven time periods: During the late 1960s through the 1970s, hospitals began developing computer-based information systems which initially focused on: | 1. Physician order entry 2. Results reporting 3. Pharmacy 4. Laboratory 5. Radiology reports 6. Information for financial and managerial purposes 7. Physiologic monitoring systems in the intensive care units |
Seven time periods: 1970s: A few systems started to include: | Care planning Decision support Interdisciplinary problem list |
Seven time periods: 1970s: Nurses were often involved in? | Implementing systems |
Seven time periods: 1970s: Interest in computers and nursing began to emerge in? | Public and home health and education |
Seven time periods: 1970s: In the 1970s, conferences helped public and home health nurses: | 1. Understand the importance of nursing data and their relationship to new Medicare and Medicaid legislation 2. Provide information on the usefulness of computers for capturing and aggregating home health and public health information. |
Seven time periods: 1970s: Hospitals and public health agencies embarked on? | Investigating computers and nursing |
Seven time periods: 1970s: True or False: The opportunity to improve education using computer technology also began: | True, it did happen in this period |
Seven time periods: 1970s: In this time, what helped to expand nursing awareness of computers and the impact HIT could have on practice | Early nursing networks |
Seven time periods: 1970s: TDS one of the earliest clinical information systems called? | Elipsys and Allscripts |
Seven time periods 1980: Many mainframe healthcare information systems (HISs) Emerged with? These systems documented several aspects of the patient record | Nursing subsystems |
Seven time periods 1980: What (computer) emerged in this period? | Microcomputer and personal computer (PC) |
Seven time periods 1980: The first Nursing Special Interest Group on Computers met for the first time during? | SCAMC (Symposium on Computer Applications in Medical Care) in 1981 |
Seven time periods 1980: Became a very powerful force in integrating computer applications into the nursing profession Was approved by ANA in its formation in 1985 | CCAN (Council on Computer Applications in Nursing |
Seven time periods 1980: The first edition of this book (CCAN [Council on Computer Applications in Nursing]) published in? | 1986, the following year |
Seven time periods 1990: Legislative activity in the mid-1990s paved the way for? | Electronic health records through the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (public-law 104-19) |
Seven time periods 1990: The ANA developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate and recognized nursing technology rapidly changed in the 1990s: 1-5 | 1. PC's become smaller 2. Computer notebooks became affordable 3. Computers were linked through networks 4. The internet became mainstream 5. The World Wide Web (WWW) increased access to information |
Seven time periods 1990: The purpose of Information system was to? | Guide the development and selection of nursing systems that included standardized nursing terminologies integrated throughout the system. |
Seven Time Periods: 2000s: In 2004 an Executive Order 13335: | -Established the Office of the National Coordinator (ONC) for healthcare Information Technology (HIT) -Issued a recommendation calling for all healthcare providers to adopt interoperable electronic health records (EHRs) by 2014/2015 |
Seven Time Periods: 2000s: True or False: Wireless, point of care, regional database projects, and increased IT solutions proliferated | True, it happened in this time period |
Seven Time Periods: 2000s: What emerged as a useful technology in this time period? | The use of bar coding and radio-frequency identification (RFID) |
Seven Time Periods: 2000s: Smaller mobile devices with wireless or internet access increased access to? | Information for nurses within hospitals and in the community |
Seven Time Periods: 2000s: The development and refinement of ???, which provided voice cost-effective communication | Voice over internet protocol (VoIP) |
Seven Time Periods: 2000s: The internet in this time period provided a means for? | Development of clinical applications |
Seven Time Periods: 2000s: The nursing informatics research agenda promoted the? | Integration of nursing care data in HIT systems that would also generate data for analysis, reuse, and aggregation |
Seven time periods: 2010: During 2010, the ONC convened two national committees: | National Committee on Health Policy National Committee on Health Standards which outlined and designed the focus for the "Meaningful Use" (MU) legislation |
Seven time periods: 2010: Meaningful Use was designed to be implemented in? | At least three stages |
Seven time periods: 2010: – In 2011/2012 MU Stage 1 was initiated focusing primarily on? | The Computerized Physician Order Entry (CPOE) initiative for physicians |
All of the physical components of a computer | Computer hardware |
The basic hardware of a computer composes the computer's architecture, and includes: 1: | Electronic circuits |
The basic hardware of a computer composes the computer's architecture, and includes: 2 | Microchips, processors |
The basic hardware of a computer composes the computer's architecture, and includes: 3 | Random Access Memory (RAM) |
The basic hardware of a computer composes the computer's architecture, and includes: 4 | Read-Only Memory (ROM) |
The basic hardware of a computer composes the computer's architecture, and includes: 5 | Graphic and sounds cards |
The basic hardware of a computer composes the computer's architecture, and includes: 1-6 | -Electronic circuits -Microchips, processors -Random Access Memory (RAM) -Read-Only Memory (ROM) -Graphic and sounds cards -Motherboard (where all the remaining components are attached to) |
Is a square or rectangular board with circuits into which are plugged the main electronics of the computer | The motherboard |
Devices that may be inside the computer case but are not part of the architecture include: | -Main storage device which is usually an internal hard drive -Cooling system -Modem -Ethernet connectors -Optical drives -Universal Serial Bus (USB) connectors -Multi-format media card readers |
Devices attached or linked to a computer that are peripheral to the main computer box are part of the system's hardware and these include: | -Input and output devices, including the: keyboard, touch screen, mouse, printer, and fax -Storage components such as: external hard drives, thumb drives, floppy drives, tape drives, sound systems (earphones, microphones, speakers, subwoofers) -computer monitor |
The group of required and optional hardware items that are linked together to make up a computer system is called? | Its configuration |
Required Hardware Components of a Computer: Motherboard: Motherboard's storage media is called? | Memory |
Memory: -Working memory used for primary storage -temporary storage -is called volatile memory because everything in it unloads (is lost) when the computer is turned off | Random access memory |
Memory: RAM is called volatile memory because: | Everything in RAM unloads (is lost) when the computer is turned off |
Memory: RAM is otherwise called 'what?' because everything in it unloads (is lost) when the computer is turned off. | Volatile memory |
Computer hardware: These devices allow the computer to receive information from the outside world | Input devices |
Hard Drive: For small computers, it is typically: | Inside the case or box that houses the CPR and other internal hardware |
Hard Drive: True or False: Internal hard drives are portable; they are not plugged directly into the motherboard. | False, Internal hard drives are not portable; they are plugged directly into the motherboard |
The many names for flash drive are: | Pen drive, jump drive, thistle drive, and pocket drive |
Until the late 1990s, CD-ROMs were? | Strictly input devices |